ELIZABETH BRIDGEWATER


Address: 906 Interstate Ridge Dr Ste C, Gainesville, GA 30501-7074
Phone: 4049348338

ELIZABETH BRIDGEWATER (NPI# 1922508704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922508704
Entity Type Individual
Full Name ELIZABETH BRIDGEWATER
Practice Address 906 Interstate Ridge Dr Ste C
Gainesville
GA 30501-7074
Mailing Address 5020 Merlin Dr
Oakwood
GA 30566-2623
Practice Telephone 4049348338
Enumeration Date 2018-02-18
Last Update Date 2018-02-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 906 INTERSTATE RIDGE DR STE C
City GAINESVILLE
State GA
Zip Code 30501-7074

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437782851 Madison Raye Huth Physician Assistant 743 Spring Street Se, Gainesville, GA 30501 2020-02-13
1205487659 Grace M Walker Brown Nurse Practitioner 592 Medical Park Dr., Suite A, Gainesville, GA 30501 2019-09-26
1174086987 Nayab Ahmed Student in an Organized Health Care Education/Training Program 743 Spring Street, Suite 710, Gainesville, GA 30501 2019-04-09
1154881118 Ryan D Berry Student in an Organized Health Care Education/Training Program 734 Spring St Se Ste 710, Gainesville, GA 30501 2019-03-24
1609336304 Harper E Niver Student in an Organized Health Care Education/Training Program 743 Spring St., Suite 710, Gainesville, GA 30501 2019-03-20
1508336173 Bradee Burrell Aderholt Nurse Practitioner 663 Lanier Park Drive, Gainesville, GA 30501 2018-11-27
1578068359 Soammy Liz Matias Chiropractor 961 Green Street, Gainesville, GA 30501 2018-03-26
1811496896 Matthew Brown Speech-Language Pathologist 500 Spring St. Se Suite 101, Gainesville, GA 30501 2018-02-06
1346769825 Dr. Skeete & Associates of North Georgia, P.C. Optometrist 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 2017-09-15
1932624723 M & B Imaging, PC Radiology 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 2017-08-14
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588107288 Leslie Stone Case Manager/Care Coordinator 2913 Nw 6th St, Gainesville, FL 32609-2978 2016-11-29
1205379906 Janae Basford Case Manager/Care Coordinator 8824 Nw 35th Pl, Gainesville, FL 32606-3804 2016-11-29
1598211302 Deborah Osborne Case Manager/Care Coordinator 4300 Sw 13rh St, Gainesville, FL 32608-4006 2016-08-31
1346616588 Angela Shaak Bauer Case Manager/Care Coordinator 4415 Nw 143rd St, Gainesville, FL 32606-3408 2015-08-11
1174906077 Cindy Haynes Case Manager/Care Coordinator 949 Bradford St Nw, Gainesville, GA 30501-2949 2015-07-09
1174923551 Chelsea Simpkins Case Manager/Care Coordinator 4415 Sw 34th St Apt 610, Gainesville, FL 32608-1476 2014-09-04
1255695425 Harriet Lynn Bryant Case Manager/Care Coordinator 3525 Nw 22nd Ter, Gainesville, FL 32605-2344 2012-07-02
1972865202 Ninoska Mercedes Bravo-machado Case Manager/Care Coordinator 5424 Carolean St, Gainesville, GA 30506-3193 2012-06-12
1598032856 Anna L Jones Case Manager/Care Coordinator 8490 Anchor On Lanier Ct, Gainesville, GA 30506-6784 2011-11-30
1407123185 Dru Dixon Thomas Case Manager/Care Coordinator 4041 Fieldstone Dr, Gainesville, GA 30506-2236 2011-11-22
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Competitor

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City GAINESVILLE
Zip Code 30501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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